MR. JENNINGS E. MOONEYHAN SA-C
NPI 1790107928
Specialist/Technologist, Other - Surgical Assistant in Jacksonville Beach, FL

Q: What is Jennings Mooneyhan's NPI number?

The NPI number for Jennings Mooneyhan is 1790107928. It was assigned to this individual provider in the NPPES registry on January 7, 2014. The provider is also known as Mr. Jennings E Mooneyhan Sa-C.

Q: What is Jennings Mooneyhan's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Active since January 07, 2014

1310 1ST ST S, JACKSONVILLE BEACH, FL 32250(904) 222-5491(904) 627-1609 Get Directions Write a Review

NPPES record last updated: January 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Jennings E. Mooneyhan Sa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JENNINGS E. MOONEYHAN SA-C (NPI 1790107928) is an individual surgical assistant in Jacksonville Beach, Florida, licensed in Tennessee (94-122) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1790107928

Entity TypeIndividualMale

Primary Taxonomy246ZC0007X

Provider Legal NameMR. JENNINGS E. MOONEYHANCredential: SA-C

Location Address1310 1ST ST SJacksonville Beach, FL 32250-6404

Mailing Address1310 1st St SJacksonville Beach, FL 32250-6404 · (904) 222-5491 · Fax (904) 627-1609

Phone(904) 222-5491

Fax(904) 627-1609

Sole ProprietorYes

Enumeration DateJanuary 7, 2014

✔ NPI 1790107928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZC0007X

License✔ Licensed in TN · 94-122

Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

1310 1ST ST S, Jacksonville Beach, FL 32250

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Other Names 1

Professional Name (2)Mr. Jennings E Mooneyhan Sa-c

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennings Mooneyhan's NPI number?

The NPI number for Jennings Mooneyhan is 1790107928. It was assigned to this individual provider in the NPPES registry on January 7, 2014. The provider is also known as Mr. Jennings E Mooneyhan Sa-C.

Where is Jennings Mooneyhan located?

Jennings Mooneyhan practices at 1310 1st St S, Jacksonville Beach, FL 32250. The listed phone number is (904) 222-5491.

What is Jennings Mooneyhan's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Jennings Mooneyhan was last updated on January 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.